Abstract

Background: Insufficient weight loss is one of the major concerns after sleeve gastrectomy (SG). Recently, a modification of duodenal switch (DS), a single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) has become increasingly popular for patients with BMI over 50 as a primary or staged surgery. Staging allows surgeons to do the SG first with the conversion only happening when a failure or technical challenge is identified.

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